NPI | 1578304093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032340) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9674572) |
163W00000X Registered Nurse (Licence: IN 28223292A) | |
Enumeration Date | 2024-06-06 |
Last Update Date | 2025-06-09 |