NPI | 1992947550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038674) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.10625-NP) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH RS648303) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038674) | |
Enumeration Date | 2009-03-28 |
Last Update Date | 2025-05-30 |