NPI | 1164206710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95026661) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95026661) |
Enumeration Date | 2023-08-23 |
Last Update Date | 2023-08-23 |