NPI | 1790223386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9434464) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9434464) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2024-12-10 |