NPI | 1508261413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL ARNP9310418) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CO C-APN.0003941-C-NP) |
363LA2100X Nurse Practitioner Acute Care (Licence: GA APRNGAA-NP000691) | |
363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704393620) | |
Enumeration Date | 2014-11-04 |
Last Update Date | 2022-08-18 |