NPI | 1023686672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013380) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11013380) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2024-05-09 |