NPI | 1124797154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11015454) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN9279902) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015454) | |
Enumeration Date | 2021-09-13 |
Last Update Date | 2025-04-07 |