NPI | 1336922657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11028140) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9166646) |
Enumeration Date | 2023-08-18 |
Last Update Date | 2024-09-19 |