NPI | 1770956971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9283268) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9283268) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9283268) | |
Enumeration Date | 2015-11-10 |
Last Update Date | 2023-11-03 |