NPI | 1497505275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11030977) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030977) |
Enumeration Date | 2024-03-25 |
Last Update Date | 2025-08-04 |