NPI | 1154631687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 19729) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA NP19729) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2025-06-14 |