NPI | 1598129397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9325967) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9325967) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2023-08-10 |