NPI | 1831558295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95014148) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 680724) |
163W00000X Registered Nurse (Licence: CA 824624) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431246-1) | |
Enumeration Date | 2016-02-15 |
Last Update Date | 2021-05-13 |