NPI | 1194275354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP016864) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN649812) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2022-07-21 |