NPI | 1558534685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 17636) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP 17636) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2020-11-12 |