NPI | 1316389075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9407196) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9407196) |
Enumeration Date | 2013-07-23 |
Last Update Date | 2025-08-11 |