NPI | 1235774357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 26656) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 26656) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP021154) | |
Enumeration Date | 2019-11-12 |
Last Update Date | 2023-04-20 |