NPI | 1063067353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95012029) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95012029) | |
Enumeration Date | 2019-08-05 |
Last Update Date | 2024-01-19 |