NPI | 1558965004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD ac003484) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9375748) |
Enumeration Date | 2020-11-25 |
Last Update Date | 2023-06-08 |