NPI | 1700144771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 20977) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AK 138091) |
363L00000X Nurse Practitioner (Licence: SC 25569) | |
364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 3611) | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2024-01-02 |