NPI | 1841085636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038846) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11038846) |
Enumeration Date | 2025-04-11 |
Last Update Date | 2025-04-21 |