NPI | 1295370914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-143304) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 143-304) |
Enumeration Date | 2019-11-18 |
Last Update Date | 2024-02-01 |