NPI | 1174180699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23046) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 220006) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2024-04-16 |