NPI | 1346621992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9264103) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9264103) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2024-03-14 |