NPI | 1770125858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26677) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000145168) |
Enumeration Date | 2019-10-10 |
Last Update Date | 2022-03-24 |