NPI | 1629331095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9264703) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9264703) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2021-12-15 |