NPI | 1841410545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9307716) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH6232) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2023-01-19 |