NPI | 1518402684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9315623) |
Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL APRN9315623) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9315623) | |
Enumeration Date | 2016-12-28 |
Last Update Date | 2024-02-13 |