NPI | 1508446089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019889) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 95223197) |
207RI0011X Internal Medicine Interventional Cardiology (Licence: CA 95019889) | |
363LC0200X Nurse Practitioner Critical Care Medicine (Licence: CA 95019889) | |
Enumeration Date | 2021-04-09 |
Last Update Date | 2022-12-15 |