NPI | 1265847123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 18737) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 18737) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 18737) | |
Enumeration Date | 2014-06-30 |
Last Update Date | 2020-03-18 |