NPI | 1306146626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95011878) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 589091-1) |
363LF0000X Nurse Practitioner, Family (Licence: NY 336215) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95011878) | |
Enumeration Date | 2010-11-03 |
Last Update Date | 2023-03-15 |