NPI | 1538706783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95013343) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 776729) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95013343) | |
Enumeration Date | 2019-12-06 |
Last Update Date | 2022-02-08 |