NPI | 1790399251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015328) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95015328) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2021-02-08 |