NPI | 1376248443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11025458) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9293775) |
Enumeration Date | 2023-03-30 |
Last Update Date | 2023-12-18 |