NPI | 1932115532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 535518) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 097006303RN) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OR 097006303N3) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2018-03-19 |