NPI | 1659140820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95028481) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95028481) |
Enumeration Date | 2023-12-28 |
Last Update Date | 2024-07-02 |