NPI | 1134659485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95012067) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 718170) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431233) | |
Enumeration Date | 2017-06-19 |
Last Update Date | 2020-09-29 |