NPI | 1881678233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 10927) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 508591) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 10927) | |
Enumeration Date | 2005-11-30 |
Last Update Date | 2020-07-21 |