NPI | 1104625615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 239761) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN118258) |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-14 |