NPI | 1386034569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9262432) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9262432) |
363L00000X Nurse Practitioner (Licence: FL ARNP9262432) | |
Enumeration Date | 2015-01-27 |
Last Update Date | 2023-04-27 |