NPI | 1225572993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020012) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001255165) |
163W00000X Registered Nurse (Licence: FL 9280660) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024174279) | |
Enumeration Date | 2016-12-14 |
Last Update Date | 2023-08-01 |