NPI | 1720276157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001257) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn296224) |
363L00000X Nurse Practitioner (Licence: MD 17301-NP) | |
363L00000X Nurse Practitioner (Licence: IA H171811) | |
363L00000X Nurse Practitioner (Licence: TN 32674) | |
Enumeration Date | 2007-10-10 |
Last Update Date | 2024-03-21 |