NPI | 1588116867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95003640) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 728425) |
163W00000X Registered Nurse (Licence: NM 73225) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NM 53473) | |
Enumeration Date | 2016-11-02 |
Last Update Date | 2020-03-20 |