NPI | 1568766442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 19493) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 3322) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2016-09-16 |