NPI | 1225198781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95005257) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005257) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95005257) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95005257) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-05-13 |