NPI | 1760803126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL f1213276) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ARNP9238143) |
Enumeration Date | 2014-01-02 |
Last Update Date | 2023-07-26 |