NPI | 1003524893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022845) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NV 860482) |
Enumeration Date | 2022-11-09 |
Last Update Date | 2024-01-29 |