NPI | 1942822283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11007454) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL RN9343822) |
Enumeration Date | 2020-05-09 |
Last Update Date | 2022-06-29 |