NPI | 1689473415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11034732) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034732) |
Enumeration Date | 2025-03-12 |
Last Update Date | 2025-10-01 |