NPI | 1821434051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9278954) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9278954) |
Enumeration Date | 2013-05-15 |
Last Update Date | 2021-03-22 |