NPI | 1689160913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9286665) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9286665) |
Enumeration Date | 2018-07-10 |
Last Update Date | 2023-07-10 |