NPI | 1427508837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95013260) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000021749) |
Enumeration Date | 2016-10-10 |
Last Update Date | 2020-12-22 |