NPI | 1346881174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009279) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 074049-23) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2021-05-27 |