NPI | 1154786440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11020177) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 216386) |
Enumeration Date | 2015-12-31 |
Last Update Date | 2022-12-07 |