NPI | 1750171104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11039375) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11039375) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11039375) | |
Enumeration Date | 2025-05-08 |
Last Update Date | 2025-05-08 |