NPI | 1831374685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1375092) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1375092) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2021-09-13 |