NPI | 1699861351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN2156872) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2156872) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-04-12 |