NPI | 1316681042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186398) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11019109) |
363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024186398) | |
Enumeration Date | 2022-04-27 |
Last Update Date | 2023-10-17 |