NPI | 1801332242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95005988) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 801560) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2021-08-31 |