NPI | 1144769027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95006152) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95047647) |
Enumeration Date | 2017-02-13 |
Last Update Date | 2022-08-29 |