NPI | 1487298287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-155350) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-155350) |
Enumeration Date | 2019-11-05 |
Last Update Date | 2023-06-29 |