NPI | 1487644647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11014444) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL APRN11014444) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2025-08-27 |