NPI | 1194292359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009967) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95009967) |
Enumeration Date | 2018-10-25 |
Last Update Date | 2019-01-16 |