NPI | 1497453443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11024692) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9338336) |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-06-27 |