NPI | 1831629930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-4178) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7169291) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5017206) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431228) | |
Enumeration Date | 2017-06-13 |
Last Update Date | 2023-11-03 |