NPI | 1518075407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1638992) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL APRN1638992) |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL APRN1638992) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2025-08-18 |