NPI | 1518165190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 388202) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 388202) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2021-11-30 |