NPI | 1083208466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R247226) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA 60315102) |
Enumeration Date | 2021-02-25 |
Last Update Date | 2023-03-15 |