NPI | 1982414702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038863) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9497116) |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-08-05 |