NPI | 1871197673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11013505) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F12180709) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN11013505) | |
Enumeration Date | 2020-11-23 |
Last Update Date | 2022-07-05 |