NPI | 1588192082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9221721) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9221721) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL arnp9221721) | |
Enumeration Date | 2017-05-26 |
Last Update Date | 2021-08-27 |