NPI | 1528672284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11009059) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL F07201858) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2021-10-06 |