NPI | 1518656321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2023060041) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9465128) |
Enumeration Date | 2023-05-08 |
Last Update Date | 2024-08-27 |