NPI | 1477050672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009386) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WI 196026-30) |
163WG0000X Registered Nurse, General Practice (Licence: CA 849992) | |
Enumeration Date | 2018-04-12 |
Last Update Date | 2020-03-26 |