NPI | 1184354615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020102) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11020102) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020102) | |
Enumeration Date | 2022-06-16 |
Last Update Date | 2022-10-14 |