NPI | 1962840785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11025371) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004528A) |
163W00000X Registered Nurse (Licence: IN 28154057A) | |
Enumeration Date | 2013-06-14 |
Last Update Date | 2024-05-22 |