NPI | 1962048124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN1110726) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0001146680) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: VA 0001146680) | |
Enumeration Date | 2019-11-22 |
Last Update Date | 2022-07-25 |