NPI | 1306409032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9367124) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9367124) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2023-04-10 |