NPI | 1144671488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN11011238) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704189405) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2022-07-13 |