NPI | 1629888557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11037250) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9548302) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11037250) | |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-04-21 |