NPI | 1710356977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9294077) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9294077) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2024-08-06 |