NPI | 1154929529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 4724) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 696558) |
364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: CA 4724) | |
Enumeration Date | 2020-10-16 |
Last Update Date | 2024-06-11 |