NPI | 1790410876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11020711) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020711) |
Enumeration Date | 2022-07-21 |
Last Update Date | 2025-09-23 |