NPI | 1770059008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9180832) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9180832) |
Enumeration Date | 2018-10-14 |
Last Update Date | 2025-05-19 |