NPI | 1316637416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11024952) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11024952) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11024952) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11024952) | |
Enumeration Date | 2023-05-11 |
Last Update Date | 2023-05-11 |