NPI | 1235693268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11003292) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9361508) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11003292) | |
Enumeration Date | 2019-01-23 |
Last Update Date | 2024-06-14 |