NPI | 1023377231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23015) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-115189) |
163W00000X Registered Nurse (Licence: CA 840790) | |
Enumeration Date | 2012-05-08 |
Last Update Date | 2017-01-04 |