NPI | 1518703511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11040641) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9601082) |
Enumeration Date | 2024-07-08 |
Last Update Date | 2025-08-20 |