NPI | 1639548175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11021639) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP015256) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2025-08-05 |