NPI | 1083195408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009709) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95009709) |
Enumeration Date | 2018-08-23 |
Last Update Date | 2019-01-09 |