NPI | 1992456370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-169568) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-169568) |
Enumeration Date | 2022-01-17 |
Last Update Date | 2023-09-27 |