NPI | 1699288845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9361181) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003747) |
363L00000X Nurse Practitioner (Licence: FL ARNP9361181) | |
Enumeration Date | 2017-11-09 |
Last Update Date | 2025-07-08 |