NPI | 1760190979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11035829) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN285752) |
163W00000X Registered Nurse (Licence: FL RN9616534) | |
Enumeration Date | 2022-11-08 |
Last Update Date | 2024-10-09 |