NPI | 1548748858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA MD5036175) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA MD5036175) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2023-01-04 |