NPI | 1831734060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-155125) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1155125) |
363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-155125) | |
Enumeration Date | 2019-11-12 |
Last Update Date | 2023-06-28 |