NPI | 1891124004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013975) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN646946) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN.350834) | |
Enumeration Date | 2013-11-07 |
Last Update Date | 2024-02-22 |