NPI | 1336400514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP-22661) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60290894) |
Enumeration Date | 2012-06-04 |
Last Update Date | 2014-08-22 |