NPI | 1154107571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11025964) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11025964) |
Enumeration Date | 2023-09-01 |
Last Update Date | 2024-09-18 |