NPI | 1063980647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN11001205) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: FL RN9293389) |
Enumeration Date | 2018-11-13 |
Last Update Date | 2023-09-06 |