NPI | 1124600762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 255808) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RNP255808) |
Enumeration Date | 2021-04-23 |
Last Update Date | 2024-11-20 |