NPI | 1619227022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11001289) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN3244882) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001289) | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2024-02-12 |