NPI | 1003807371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11021670) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0017139339) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2022-12-22 |