NPI | 1588294367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11004714) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN11004714) |
363L00000X Nurse Practitioner (Licence: FL APRN11004714) | |
207Q00000X Family Medicine (Licence: FL APRN11004714) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004714) | |
Enumeration Date | 2020-01-22 |
Last Update Date | 2024-08-30 |