NPI | 1831715366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007531) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10000044) |
Enumeration Date | 2020-06-20 |
Last Update Date | 2025-03-06 |