NPI | 1780226175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11000799) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000799) |
Enumeration Date | 2019-10-17 |
Last Update Date | 2019-10-23 |