NPI | 1265912562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95010142) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9347684) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9347684) | |
Enumeration Date | 2018-08-16 |
Last Update Date | 2022-02-28 |