NPI | 1033408745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9194115) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9194115) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9194115) | |
Enumeration Date | 2011-04-04 |
Last Update Date | 2023-11-06 |