NPI | 1932297579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037233) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F331613) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2025-08-21 |