NPI | 1881180503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9341147) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9341147) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2023-11-30 |