NPI | 1972177764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11005755) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11005755) |
Enumeration Date | 2021-05-17 |
Last Update Date | 2024-01-25 |