NPI | 1154029429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 2022137914) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0001227695) |
Enumeration Date | 2023-02-16 |
Last Update Date | 2024-03-03 |