NPI | 1063983641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3013173) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013173) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9295254) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 3013173) | |
Enumeration Date | 2018-12-07 |
Last Update Date | 2023-05-10 |