NPI | 1356911671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11031708) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1046195) |
Enumeration Date | 2021-06-29 |
Last Update Date | 2024-04-01 |