NPI | 1700504545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 31601) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 222242) |
Enumeration Date | 2022-08-18 |
Last Update Date | 2023-05-10 |