NPI | 1497122360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95001605) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95001605) |
363L00000X Nurse Practitioner (Licence: CA 95001605) | |
363LA2100X Nurse Practitioner Acute Care (Licence: CA 326872) | |
Enumeration Date | 2015-08-27 |
Last Update Date | 2015-09-29 |