NPI | 1578004578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017319) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN647587) |
Enumeration Date | 2017-03-10 |
Last Update Date | 2024-03-27 |