NPI | 1639821655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020121) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95020121) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA Pending) | |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95020121) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA Pending) | |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA 95020121) | |
Enumeration Date | 2022-01-20 |
Last Update Date | 2022-03-01 |