NPI | 1720763402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027050) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11027050) |
Enumeration Date | 2023-06-20 |
Last Update Date | 2025-04-16 |