NPI | 1225675218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 25669) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: SC 217220) |
363LA2200X Nurse Practitioner Adult Health (Licence: SC 25669) | |
Enumeration Date | 2019-12-09 |
Last Update Date | 2024-07-03 |