NPI | 1992032254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9270643) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007855) |
Enumeration Date | 2009-11-06 |
Last Update Date | 2022-08-18 |