NPI | 1487960340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020533) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 19016) |
Enumeration Date | 2010-08-28 |
Last Update Date | 2023-04-28 |