NPI | 1841443249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11013914) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN226820L) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP010014) | |
Enumeration Date | 2008-10-29 |
Last Update Date | 2023-03-07 |