NPI | 1467708156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95009141) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP4568) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2024-07-31 |