NPI | 1578029187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11032068) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 818243) |
363L00000X Nurse Practitioner (Licence: NV 818243) | |
Enumeration Date | 2019-02-19 |
Last Update Date | 2025-03-19 |