NPI | 1073983243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95002808) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002808) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2024-09-16 |