NPI | 1710398482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9282009) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9282009) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9282009) | |
Enumeration Date | 2014-05-15 |
Last Update Date | 2024-05-21 |