NPI | 1164291092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 12896) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN03851) |
Enumeration Date | 2023-12-20 |
Last Update Date | 2024-03-19 |