NPI | 1003555673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95925776) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA rn95222327) |
Enumeration Date | 2022-06-01 |
Last Update Date | 2023-09-20 |