NPI | 1811436298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9320426) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9320426) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2019-12-10 |