NPI | 1285054510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9192208) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9192208) |
363LA2100X Nurse Practitioner, Acute Care (Licence: SC 18683) | |
Enumeration Date | 2014-04-25 |
Last Update Date | 2021-02-24 |