NPI | 1346826054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 76024) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9351799) |
363L00000X Nurse Practitioner (Licence: FL APRN11014393) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014393) | |
Enumeration Date | 2021-03-23 |
Last Update Date | 2023-12-20 |