NPI | 1417164930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 16886) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 16886) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2012-06-18 |