NPI | 1043511744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95000152) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95023362) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC000806) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1013784) | |
Enumeration Date | 2010-11-11 |
Last Update Date | 2023-08-07 |