NPI | 1639214216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11027284) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP-785A) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61664035) | |
Enumeration Date | 2007-02-21 |
Last Update Date | 2025-03-10 |