NPI | 1528511342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9348611) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9348611) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2025-09-21 |