NPI | 1023442746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-091496) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-091496) |
Enumeration Date | 2013-08-29 |
Last Update Date | 2024-02-01 |