NPI | 1780328351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010258) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11010258) |
Enumeration Date | 2022-04-20 |
Last Update Date | 2024-04-10 |