NPI | 1861801508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004821) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV APRN001786) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2019-08-06 |