NPI | 1982147203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9298681) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9298681) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9298681) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9298681) | |
Enumeration Date | 2016-11-18 |
Last Update Date | 2019-06-14 |