NPI | 1568835411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95003361) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003361) |
Enumeration Date | 2015-11-01 |
Last Update Date | 2018-10-29 |