NPI | 1801003058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9208266) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9208266) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2023-04-05 |