NPI | 1710485552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009924) |
Additional Taxonomies | 104100000X Social Worker |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009924) | |
Enumeration Date | 2018-01-26 |
Last Update Date | 2025-08-22 |