NPI | 1902614761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN11-36920) |
Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: FL APRN11036920) |
363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11036920) | |
Enumeration Date | 2024-12-26 |
Last Update Date | 2024-12-26 |