NPI | 1659014108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: CA 95020488) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 95020488) |
363L00000X Nurse Practitioner (Licence: CA 95020488) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95020488) | |
Enumeration Date | 2022-04-13 |
Last Update Date | 2022-07-13 |