NPI | 1063978724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN9342821) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9342821) |
Enumeration Date | 2019-02-18 |
Last Update Date | 2019-02-18 |