NPI | 1184965592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95016359) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 658268-1) |
163W00000X Registered Nurse (Licence: CA 95030420) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY f430805) | |
Enumeration Date | 2013-03-11 |
Last Update Date | 2021-03-22 |