NPI | 1992277263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000824) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9272804) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11000824) | |
Enumeration Date | 2018-12-26 |
Last Update Date | 2024-04-29 |