NPI | 1619281870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11036863) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000234) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MD R129053) | |
Enumeration Date | 2010-07-29 |
Last Update Date | 2025-04-08 |