NPI | 1003452418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11003630) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11003630) |
Enumeration Date | 2019-11-20 |
Last Update Date | 2020-06-30 |