NPI | 1114811726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11039424) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11039424) |
Enumeration Date | 2025-06-06 |
Last Update Date | 2025-09-17 |