NPI | 1326783630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 13063) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 230969) |
Enumeration Date | 2022-05-02 |
Last Update Date | 2024-01-05 |