NPI | 1356796858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9300404) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 623053) |
163WG0000X Registered Nurse General Practice (Licence: FL RN9300404) | |
Enumeration Date | 2016-05-03 |
Last Update Date | 2021-11-24 |