NPI | 1629057237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 14401) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 1901) |
Enumeration Date | 2006-01-12 |
Last Update Date | 2018-08-17 |