NPI | 1487268967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017389) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 3805) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2023-03-24 |