NPI | 1912460924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9396730) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010983) |
Enumeration Date | 2019-04-08 |
Last Update Date | 2024-10-18 |