NPI | 1316394901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11022280) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022280) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2025-03-03 |