NPI | 1720593957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9308907) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9308907) |
Enumeration Date | 2017-12-11 |
Last Update Date | 2023-05-01 |