NPI | 1508309006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9294750) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9294750) |
Enumeration Date | 2016-12-01 |
Last Update Date | 2020-12-10 |