NPI | 1871620864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF12732) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA RN395222) |
163WE0003X Registered Nurse, Emergency (Licence: CA RN395222) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-07-08 |