NPI | 1225762610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL Aprn11019940) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11019940) |
Enumeration Date | 2022-07-12 |
Last Update Date | 2024-11-05 |