NPI | 1275302705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11033617) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 117274) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033617) | |
Enumeration Date | 2023-12-26 |
Last Update Date | 2025-04-18 |