NPI | 1982336426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11020431) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9194395) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2022-06-24 |