NPI | 1831656511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002090) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9343953) |
Enumeration Date | 2019-02-28 |
Last Update Date | 2025-01-21 |