NPI | 1235418682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9248896) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9248896) |
Enumeration Date | 2011-08-16 |
Last Update Date | 2024-07-03 |