NPI | 1346885548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003377) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: FL APRN11003377) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003377f) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11003377) | |
Enumeration Date | 2019-11-12 |
Last Update Date | 2022-07-06 |