NPI | 1326671173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038923) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5019312) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP022049) | |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26nj01000200) | |
Enumeration Date | 2020-02-20 |
Last Update Date | 2025-08-18 |