NPI | 1710305594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9295388) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9295388) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2015-10-14 |