NPI | 1104398957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000590) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000590) |
Enumeration Date | 2018-12-18 |
Last Update Date | 2023-01-10 |