NPI | 1659080513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11035626) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11035626) |
Enumeration Date | 2022-11-21 |
Last Update Date | 2025-04-08 |