NPI | 1316395171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61578561) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 715501) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2024-07-11 |