NPI | 1851878136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9312954) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 219858) |
363L00000X Nurse Practitioner (Licence: FL APRN9312954) | |
Enumeration Date | 2018-07-19 |
Last Update Date | 2024-09-01 |