NPI | 1477113942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001309) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11001309) |
Enumeration Date | 2019-06-17 |
Last Update Date | 2024-02-21 |