NPI | 1316486400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-149412) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-149412) |
Enumeration Date | 2017-02-22 |
Last Update Date | 2021-06-08 |