NPI | 1578007068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9282298) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9282298) |
Enumeration Date | 2016-12-19 |
Last Update Date | 2021-11-10 |