NPI | 1255036984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-181683) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-181683) |
Enumeration Date | 2023-04-03 |
Last Update Date | 2024-09-24 |