NPI | 1730810466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020400) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020400) |
Enumeration Date | 2022-06-22 |
Last Update Date | 2023-02-22 |