NPI | 1962725382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95000692) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 236467) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5004684) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9237954) | |
Enumeration Date | 2010-03-12 |
Last Update Date | 2020-09-28 |