NPI | 1659940237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017450) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95017450) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95017450) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95017450) | |
Enumeration Date | 2021-06-18 |
Last Update Date | 2021-08-05 |