NPI | 1659788693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9264748) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN 9264748) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RN 9264748) | |
Enumeration Date | 2014-07-22 |
Last Update Date | 2020-04-16 |