NPI | 1841693595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9187035) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN9187035) |
363LF0000X Nurse Practitioner, Family (Licence: FL RN9187035) | |
Enumeration Date | 2014-10-08 |
Last Update Date | 2024-08-21 |