NPI | 1487148466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039075) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343156) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2025-05-28 |