NPI | 1578262929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA GAA-NP003053) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-175874) |
Enumeration Date | 2023-02-24 |
Last Update Date | 2025-01-31 |