NPI | 1083002828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9279291) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL ARNP 9279291) |
Enumeration Date | 2015-01-02 |
Last Update Date | 2024-12-13 |