NPI | 1912534231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1912534231) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11006753) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11006753) | |
Enumeration Date | 2020-03-25 |
Last Update Date | 2023-06-22 |