NPI | 1659738318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9400138) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL ARNP 9400138) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2021-12-27 |