NPI | 1154722031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001721) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 742711) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95001721) | |
Enumeration Date | 2014-09-10 |
Last Update Date | 2023-03-28 |