NPI | 1598266777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9304026) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2017028726) |
Enumeration Date | 2018-02-23 |
Last Update Date | 2021-11-15 |