NPI | 1538887146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11021008) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11021008) |
Enumeration Date | 2022-08-19 |
Last Update Date | 2025-03-31 |