NPI | 1184270209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005031) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9312491) |
Enumeration Date | 2019-08-14 |
Last Update Date | 2024-10-23 |