NPI | 1881053163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9367885) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 9367885) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2021-03-17 |