NPI | 1811679079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11025280) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025280) |
Enumeration Date | 2023-08-07 |
Last Update Date | 2025-03-07 |