NPI | 1578180493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007749) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007749) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2022-08-31 |