NPI | 1053977538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002150) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL RN9283771) |
Enumeration Date | 2019-05-10 |
Last Update Date | 2019-07-12 |