NPI | 1801244132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9210299) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9210299) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2019-08-08 |