NPI | 1679073431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9344377) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP141199) |
Enumeration Date | 2018-02-19 |
Last Update Date | 2022-09-19 |