NPI | 1578934279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016321) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024172621) |
363L00000X Nurse Practitioner (Licence: FL APRN11016321) | |
363LF0000X Nurse Practitioner, Family (Licence: CA NP95005619) | |
363LF0000X Nurse Practitioner, Family (Licence: MD R201806) | |
Enumeration Date | 2015-10-07 |
Last Update Date | 2022-08-30 |