NPI | 1962174185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015419) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11015419) |
363LF0000X Nurse Practitioner, Family (Licence: FL RN9509344) | |
Enumeration Date | 2021-10-05 |
Last Update Date | 2023-01-11 |