NPI | 1013799576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP028211) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN711204) |
Enumeration Date | 2023-10-19 |
Last Update Date | 2023-12-18 |