NPI | 1801222849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9193149) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9193149) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9193149) | |
Enumeration Date | 2013-09-23 |
Last Update Date | 2023-05-15 |