NPI | 1801388350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9257965) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9257965) |
Enumeration Date | 2018-05-31 |
Last Update Date | 2023-03-06 |