NPI | 1457827503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11021518) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11021518) |
363L00000X Nurse Practitioner (Licence: AL 1-145076) | |
Enumeration Date | 2018-10-16 |
Last Update Date | 2025-08-07 |