NPI | 1518470665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9366513) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9366513) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 9366513) | |
Enumeration Date | 2017-11-12 |
Last Update Date | 2023-02-07 |