NPI | 1265923155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95009831) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95009831) |
Enumeration Date | 2018-05-25 |
Last Update Date | 2022-07-05 |