NPI | 1366893257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015316) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CA 784368) |
364S00000X Clinical Nurse Specialist (Licence: CA 95015316) | |
Enumeration Date | 2016-06-22 |
Last Update Date | 2023-09-20 |