NPI | 1689010860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9288720) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9288720) |
Enumeration Date | 2013-05-15 |
Last Update Date | 2023-09-22 |