NPI | 1649906884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020762) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11020762) |
Enumeration Date | 2022-07-29 |
Last Update Date | 2023-05-17 |