NPI | 1760073522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11014832) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP023342) |
Enumeration Date | 2021-02-03 |
Last Update Date | 2025-07-30 |