NPI | 1477882298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014987) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 200903955) |
Enumeration Date | 2009-12-08 |
Last Update Date | 2022-07-08 |