NPI | 1407316854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-159021) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-159021) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-02-01 |