NPI | 1548562937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 8569) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: CA 8569) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2023-03-01 |