NPI | 1326593252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9201480) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9201480) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9201480) | |
Enumeration Date | 2016-08-21 |
Last Update Date | 2023-06-08 |