NPI | 1164922811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11002579) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9319063) |
363L00000X Nurse Practitioner (Licence: FL 11002579) | |
Enumeration Date | 2018-02-20 |
Last Update Date | 2023-07-07 |