NPI | 1104375641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9491826) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: FL RN9491826) |
Enumeration Date | 2016-09-26 |
Last Update Date | 2023-03-02 |