NPI | 1508453200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11010527) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11010527) |
Enumeration Date | 2020-12-29 |
Last Update Date | 2023-02-08 |