NPI | 1659014777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35034) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5022698) |
163W00000X Registered Nurse (Licence: TN 0000221826) | |
363L00000X Nurse Practitioner (Licence: TN 35034) | |
Enumeration Date | 2022-04-16 |
Last Update Date | 2025-10-06 |