NPI | 1720853666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11030613) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL rn9446083) |
Enumeration Date | 2023-11-21 |
Last Update Date | 2024-03-27 |