NPI | 1720057292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9345064) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f 334431-1) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2021-09-14 |