NPI | 1538639448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11015708) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308740) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2023-07-03 |