NPI | 1922596105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11023557) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023557) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2025-06-25 |