NPI | 1326742461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11022828) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022828) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11022828) | |
Enumeration Date | 2023-03-30 |
Last Update Date | 2023-03-30 |