NPI | 1417726381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 669494) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL 669494) |
363L00000X Nurse Practitioner (Licence: FL 669494) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL 669494) | |
Enumeration Date | 2023-12-20 |
Last Update Date | 2023-12-20 |