NPI | 1548708282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001242) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL 9331261) |
163WC1500X Registered Nurse, Community Health (Licence: FL 9331261) | |
Enumeration Date | 2017-02-02 |
Last Update Date | 2024-07-03 |