NPI | 1184049686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11024808) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 3-001432) |
Enumeration Date | 2014-02-20 |
Last Update Date | 2024-09-13 |