NPI | 1811365570 |
---|---|
Former Name | ABBEY STRANIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1009531) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7102910-4405) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2025-01-09 |