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 |