NPI | 1013579952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011914) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 784215) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2023-08-11 |