NPI | 1568943629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11020931) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308698-1) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2023-01-18 |