NPI | 1841710670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9350266) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5015728) |
363L00000X Nurse Practitioner (Licence: FL ARNP9350266) | |
363LF0000X Nurse Practitioner, Family (Licence: NC 5015728) | |
Enumeration Date | 2017-06-22 |
Last Update Date | 2024-08-13 |