NPI | 1568647543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17391) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA RN596903) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2020-10-05 |