NPI | 1033781463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP023081) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN649831) |
163W00000X Registered Nurse (Licence: NJ 26NR20593500) | |
Enumeration Date | 2021-07-14 |
Last Update Date | 2021-07-14 |