NPI | 1326505108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95010224) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95010224) |
Enumeration Date | 2019-02-27 |
Last Update Date | 2024-02-29 |