NPI | 1194063834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9493681) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN1003018) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MD R161765) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9493681) | |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R161765) | |
Enumeration Date | 2013-01-30 |
Last Update Date | 2019-05-06 |