NPI | 1164723649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20403) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 20403) |
Enumeration Date | 2010-11-15 |
Last Update Date | 2023-11-27 |