NPI | 1063062545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008589) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9432498) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11008589) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11008589) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11008589) | |
Enumeration Date | 2019-09-16 |
Last Update Date | 2022-03-09 |