NPI | 1619451606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 54164) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000217656) |
Enumeration Date | 2018-09-17 |
Last Update Date | 2023-06-08 |