NPI | 1477018364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-4052) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11001079) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001079) | |
Enumeration Date | 2019-02-05 |
Last Update Date | 2023-08-15 |