NPI | 1922877786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028985) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 11028985) |
Enumeration Date | 2023-12-21 |
Last Update Date | 2025-01-12 |