NPI | 1982583167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11040163) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9606455) |
Enumeration Date | 2025-09-01 |
Last Update Date | 2025-09-01 |