NPI | 1902404726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11009502) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11009502) |
Enumeration Date | 2020-10-14 |
Last Update Date | 2023-04-04 |