NPI | 1417490467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11037028) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016415) |
Enumeration Date | 2016-11-23 |
Last Update Date | 2025-04-10 |