NPI | 1326595950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9355398) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL Arnp9355938) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL aprn9355398) | |
Enumeration Date | 2016-09-01 |
Last Update Date | 2023-12-28 |