NPI | 1912428327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9345172) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201804753NP-PP) |
363LF0000X Nurse Practitioner, Family (Licence: FL 9345172) | |
Enumeration Date | 2017-07-06 |
Last Update Date | 2023-08-16 |