NPI | 1912694480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN1025780) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11025780) |
Enumeration Date | 2023-04-24 |
Last Update Date | 2023-08-03 |