NPI | 1265086391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009433) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0994921-NP) |
Enumeration Date | 2019-07-26 |
Last Update Date | 2021-01-22 |