NPI | 1033460258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22274) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 515715) |
363L00000X Nurse Practitioner (Licence: CA NP22274) | |
Enumeration Date | 2012-09-27 |
Last Update Date | 2012-11-02 |