NPI | 1528663846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010436) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010436) |
Enumeration Date | 2020-12-03 |
Last Update Date | 2023-07-25 |