NPI | 1861431462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11035744) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11035744) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MD NP128088) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2025-06-04 |