NPI | 1841565793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026939) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011039059) |
Enumeration Date | 2012-03-11 |
Last Update Date | 2023-07-14 |