NPI | 1114726106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 67514) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95034273) |
Enumeration Date | 2025-03-11 |
Last Update Date | 2025-08-12 |