NPI | 1356128953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11028510) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11028510) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11028510) | |
Enumeration Date | 2023-09-08 |
Last Update Date | 2024-08-23 |