NPI | 1881068310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9269202) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9269202) |
Enumeration Date | 2015-11-20 |
Last Update Date | 2023-12-07 |