NPI | 1831719574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-162117) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-162117) |
Enumeration Date | 2020-04-23 |
Last Update Date | 2023-06-28 |