NPI | 1861837239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9383284) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010306) |
Enumeration Date | 2013-04-30 |
Last Update Date | 2025-09-19 |