NPI | 1972193217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95016084) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95016084) |
Enumeration Date | 2021-01-20 |
Last Update Date | 2021-01-21 |