NPI | 1720599160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9232423) |
Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: FL APRN9232423) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2021-03-31 |