NPI | 1700337904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9338221) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 93388221) |
Enumeration Date | 2016-10-22 |
Last Update Date | 2016-10-22 |