NPI | 1487983482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9338300) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9338300) |
Enumeration Date | 2009-12-22 |
Last Update Date | 2022-07-07 |