NPI | 1134443484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9186215) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9186215) |
Enumeration Date | 2010-03-16 |
Last Update Date | 2022-11-22 |