NPI | 1114686797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN11033321) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: AZ RN190727) |
363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11033321) | |
Enumeration Date | 2021-12-11 |
Last Update Date | 2024-06-16 |