NPI | 1609334507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001454) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11001454) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001454) | |
Enumeration Date | 2019-03-09 |
Last Update Date | 2023-09-28 |