NPI | 1346649928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95001107) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 758670) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2019-12-19 |