NPI | 1033623269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9257902) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9257902) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9257902) | |
Enumeration Date | 2017-11-27 |
Last Update Date | 2025-01-07 |