NPI | 1992049910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22574) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 710843) |
364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 3901) | |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |