NPI | 1659675528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9411447) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 004527) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2023-03-06 |