NPI | 1902329063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9319313) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9319313) |
Enumeration Date | 2017-07-20 |
Last Update Date | 2024-10-03 |