NPI | 1801675012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34992) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 191938) |
Enumeration Date | 2023-09-26 |
Last Update Date | 2023-12-01 |