NPI | 1215563937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP021074) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP021074) |
Enumeration Date | 2020-03-13 |
Last Update Date | 2022-04-11 |