NPI | 1912065673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN1932102) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP1932102) |
364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL ARNP 1932102) | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2024-10-16 |