NPI | 1316521032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5014493) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11036143) |
363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024192751) | |
Enumeration Date | 2021-05-09 |
Last Update Date | 2025-06-12 |