NPI | 1780346072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019345) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 494033) |
163W00000X Registered Nurse (Licence: CA 494033) | |
2086S0127X Surgery, Trauma Surgery (Licence: CA 494033) | |
Enumeration Date | 2021-10-13 |
Last Update Date | 2023-09-10 |