NPI | 1245602200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9182459) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9182459) |
364SA2100X Clinical Nurse Specialist, Acute Care (Licence: FL 9182459) | |
Enumeration Date | 2015-10-29 |
Last Update Date | 2022-02-25 |