NPI | 1194284430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA NP000345) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-162742) |
163W00000X Registered Nurse (Licence: AL 1-163742) | |
Enumeration Date | 2019-03-17 |
Last Update Date | 2021-11-09 |