NPI | 1619004603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NPF2853) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA RN295577) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2025-09-11 |