NPI | 1902259666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11007117) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11007117) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307805-1) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY F307805-1) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11007117) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: NY F307805-1) | |
Enumeration Date | 2016-07-18 |
Last Update Date | 2022-02-25 |