NPI | 1215591680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013041) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA SP020241) |
Enumeration Date | 2019-04-30 |
Last Update Date | 2022-02-17 |