NPI | 1073106670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95016694) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95049509) |
Enumeration Date | 2021-02-15 |
Last Update Date | 2024-02-07 |