NPI | 1861874893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7860) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN163123) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2024-10-23 |