NPI | 1336724061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11011174) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11011174) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011174) | |
Enumeration Date | 2021-03-15 |
Last Update Date | 2024-02-05 |