NPI | 1568827178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9327709) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9327709) |
Enumeration Date | 2015-12-24 |
Last Update Date | 2021-03-31 |