NPI | 1700268042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017707) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004368) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2024-09-09 |