NPI | 1922592633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9320422) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9320422) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2024-03-06 |