NPI | 1780277897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011663) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9420070) |
Enumeration Date | 2021-02-19 |
Last Update Date | 2025-08-01 |