NPI | 1588204945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010036664) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95104194) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95006113) | |
Enumeration Date | 2020-01-13 |
Last Update Date | 2024-03-15 |