NPI | 1972732790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9323809) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431169-01) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9323809) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 720756) | |
Enumeration Date | 2009-07-14 |
Last Update Date | 2022-09-27 |