NPI | 1710197074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036237) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL rn9210547) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2024-11-14 |