NPI | 1235485640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 200931) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 200931) |
Enumeration Date | 2012-08-03 |
Last Update Date | 2025-03-13 |