NPI | 1922692359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11026474) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1029906) |
Enumeration Date | 2021-02-25 |
Last Update Date | 2023-12-29 |