NPI | 1518449313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9322985) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN93229285) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2024-02-20 |