NPI | 1417569864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11037380) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 229844) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2025-01-29 |