NPI | 1306498464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95012146) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95108410) |
Enumeration Date | 2019-07-09 |
Last Update Date | 2024-10-14 |