NPI | 1477893832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9407685) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006090) |
Enumeration Date | 2013-02-22 |
Last Update Date | 2019-04-18 |