NPI | 1184236705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ 304169) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN215626) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2024-03-09 |