NPI | 1548795024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007449) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 691932) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2017-10-20 |