NPI | 1174655104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: CA RN 546695) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP11949) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2007-07-08 |