NPI | 1932420544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9238785) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9238785) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2025-02-10 |