NPI | 1881379337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 12350) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CT 124269) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12350) | |
Enumeration Date | 2023-06-21 |
Last Update Date | 2023-09-19 |