NPI | 1073803011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013631) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11013631) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2023-05-10 |