NPI | 1871132597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11005748) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL F12190815) |
Enumeration Date | 2019-12-28 |
Last Update Date | 2024-04-04 |