NPI | 1487255816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016474) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
163WE0003X Registered Nurse, Emergency (Licence: CA 823506) | |
Enumeration Date | 2020-11-03 |
Last Update Date | 2023-07-24 |