NPI | 1568151181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026294) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL F04230088) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2025-07-10 |