NPI | 1134781305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95012049) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012049) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2023-06-07 |