NPI | 1336563279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 233338) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H155116) |
363L00000X Nurse Practitioner (Licence: MS 901475) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP 9205781) | |
Enumeration Date | 2014-02-12 |
Last Update Date | 2021-12-07 |