NPI | 1245726199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011084) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 752773) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2021-11-18 |