NPI | 1639508310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95016720) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 752556) |
364S00000X Clinical Nurse Specialist (Licence: CA 4044) | |
Enumeration Date | 2013-11-04 |
Last Update Date | 2023-05-19 |