NPI | 1174379200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 13831) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
163WE0003X Registered Nurse, Emergency (Licence: CT 100498) | |
Enumeration Date | 2024-04-29 |
Last Update Date | 2024-10-04 |