| NPI | 1891376174 |
|---|---|
| Former Name | ERIC HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-166196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166196) |
| Enumeration Date | 2021-04-18 |
| Last Update Date | 2024-02-01 |