NPI | 1083302004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11026015) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11026015) |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-05-24 |