NPI | 1225640063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008798) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2020002972) |
Enumeration Date | 2020-08-22 |
Last Update Date | 2020-08-26 |