NPI | 1225385255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9204407) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9204407) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MD R 154845) | |
Enumeration Date | 2012-08-09 |
Last Update Date | 2024-09-10 |