NPI | 1831327527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9305478) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004256) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2024-12-30 |