NPI | 1962276725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023803) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9364079) |
Enumeration Date | 2023-11-13 |
Last Update Date | 2023-11-13 |