NPI | 1811221484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9272299) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: FL APRN9272299) |
Enumeration Date | 2009-09-29 |
Last Update Date | 2022-01-31 |