NPI | 1205549763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-148275) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AL 1-148275) |
Enumeration Date | 2022-12-29 |
Last Update Date | 2023-04-12 |