NPI | 1629437173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9292248) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9292248) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9292248) | |
Enumeration Date | 2016-02-12 |
Last Update Date | 2024-07-18 |