NPI | 1124769617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11019064) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: FL aprn11019064) |
Enumeration Date | 2022-04-06 |
Last Update Date | 2025-05-08 |