NPI | 1083104335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9403675) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018858) |
Enumeration Date | 2018-05-12 |
Last Update Date | 2023-08-14 |