NPI | 1508323312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11000593) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11000593) |
Enumeration Date | 2019-02-28 |
Last Update Date | 2024-03-08 |