NPI | 1578884763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9360915) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9360915) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2025-02-03 |