NPI | 1407564271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R253747) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R253747) |
Enumeration Date | 2022-11-10 |
Last Update Date | 2024-07-22 |