NPI | 1700478021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 2022057379) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 238720) |
Enumeration Date | 2021-02-08 |
Last Update Date | 2022-12-20 |