NPI | 1598365165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009958) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL F10200732) |
Enumeration Date | 2020-10-31 |
Last Update Date | 2024-08-01 |