NPI | 1598307548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003029) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL APRN11003029) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11003029) | |
Enumeration Date | 2019-10-10 |
Last Update Date | 2024-01-08 |