NPI | 1356807853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001456) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001456) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-11-21 |