NPI | 1386124832 |
---|---|
Former Name | HANNAH SULLIVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9445064) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 189594) |
163W00000X Registered Nurse (Licence: FL 9445064) | |
Enumeration Date | 2018-08-15 |
Last Update Date | 2023-11-20 |