NPI | 1578217139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020103) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9462133) |
Enumeration Date | 2022-02-11 |
Last Update Date | 2024-10-02 |