NPI | 1053985598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008853) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9443118) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2021-09-27 |