NPI | 1376190785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11003785) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-000409) |
Enumeration Date | 2019-08-20 |
Last Update Date | 2024-05-04 |