NPI | 1750532529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21552) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 200850109NP ACNP-PP) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2016-12-08 |