NPI | 1659763670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9270453) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9270453) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2022-09-19 |