NPI | 1295111383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9273397) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9273397) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH 17590) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9273397) | |
Enumeration Date | 2015-07-31 |
Last Update Date | 2024-07-23 |