NPI | 1669549804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11001179) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9208148) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MO 075530) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2021-09-02 |