NPI | 1538215934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 16028) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16028) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2024-09-05 |