NPI | 1417556184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-3844) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9408653) |
Enumeration Date | 2020-10-22 |
Last Update Date | 2022-12-21 |