NPI | 1821241910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000231) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 274572) |
363L00000X Nurse Practitioner (Licence: FL APRN11000231) | |
Enumeration Date | 2008-11-03 |
Last Update Date | 2021-12-02 |