NPI | 1649755752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3264662) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3264662) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2022-03-11 |