NPI | 1104262047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013191) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95201926) |
363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1054984) | |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R172460) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN1054984) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95013191) | |
Enumeration Date | 2013-05-20 |
Last Update Date | 2022-07-29 |