NPI | 1801540695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11016791) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016791) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016791) | |
Enumeration Date | 2022-02-09 |
Last Update Date | 2022-08-15 |