NPI | 1124763602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LP-0010558) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0069705) |
Enumeration Date | 2022-04-29 |
Last Update Date | 2024-05-22 |