NPI | 1760125413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-180844) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-180844) |
Enumeration Date | 2022-04-19 |
Last Update Date | 2023-10-03 |