NPI | 1275830853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11028885) |
Additional Taxonomies | 101Y00000X Counselor |
163W00000X Registered Nurse (Licence: FL 9450932) | |
163WH0200X Registered Nurse, Home Health (Licence: FL 9450932) | |
Enumeration Date | 2011-02-17 |
Last Update Date | 2023-11-27 |