NPI | 1578590121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2781502) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2781502) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2025-08-06 |