NPI | 1497428114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013329) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013329) |
363L00000X Nurse Practitioner (Licence: FL APRN11013329) | |
Enumeration Date | 2021-07-28 |
Last Update Date | 2025-03-19 |