NPI | 1093588832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95027678) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209028584) |
Enumeration Date | 2023-11-02 |
Last Update Date | 2023-11-02 |