NPI | 1306516554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015379) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW6357) |
251G00000X Hospice Care, Community Based (Licence: FL APRN11015379) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11015379) | |
Enumeration Date | 2021-09-19 |
Last Update Date | 2023-11-09 |