NPI | 1891381117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11019017) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 3-000140) |
Enumeration Date | 2020-12-21 |
Last Update Date | 2022-07-20 |