NPI | 1821503111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 10010881) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9181104) |
363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9181104) | |
Enumeration Date | 2017-12-07 |
Last Update Date | 2023-12-19 |