NPI | 1487390548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-134228) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2291533) |
Enumeration Date | 2022-05-10 |
Last Update Date | 2025-03-05 |