NPI | 1619936051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11022694) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024104793) |
363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024104793) | |
Enumeration Date | 2006-03-23 |
Last Update Date | 2024-04-10 |