NPI | 1871081927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9472321) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017903) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9472327) | |
Enumeration Date | 2018-04-24 |
Last Update Date | 2021-08-18 |