NPI | 1629571674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9250437) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9250437) |
Enumeration Date | 2018-03-15 |
Last Update Date | 2024-01-13 |