NPI | 1801383310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9349208) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9349208) |
Enumeration Date | 2018-04-19 |
Last Update Date | 2022-06-08 |