NPI | 1992057509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 20635) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 132443) |
163W00000X Registered Nurse (Licence: CA 615299) | |
363LA2100X Nurse Practitioner Acute Care (Licence: CA 2011013190) | |
Enumeration Date | 2012-10-05 |
Last Update Date | 2022-03-22 |