NPI | 1083294391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5018073) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 286844) |
Enumeration Date | 2021-04-11 |
Last Update Date | 2023-05-18 |