NPI | 1740090315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD AC006941) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN11034507) |
Enumeration Date | 2025-01-07 |
Last Update Date | 2025-08-20 |