NPI | 1942617410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9296177) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9296177) |
Enumeration Date | 2014-07-16 |
Last Update Date | 2022-11-22 |