NPI | 1164115127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: CA 4670) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95009026) |
364SA2200X Clinical Nurse Specialist Adult Health (Licence: CA 4670) | |
Enumeration Date | 2023-05-26 |
Last Update Date | 2024-05-23 |