NPI | 1942708250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9350578) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6197) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2020-10-05 |