NPI | 1760114128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020557) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: FL RN9459678) |
Enumeration Date | 2022-06-25 |
Last Update Date | 2022-06-30 |