NPI | 1083606438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA RN435904) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA RN435904) |
363LX0106X Nurse Practitioner, Occupational Health (Licence: CA RN435904) | |
Enumeration Date | 2005-08-19 |
Last Update Date | 2023-03-07 |