NPI | 1457124828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11025071) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025071) |
Enumeration Date | 2023-11-06 |
Last Update Date | 2025-07-31 |