NPI | 1477938355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9214309) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9214309) |
Enumeration Date | 2015-07-21 |
Last Update Date | 2023-02-17 |