| 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 |