NPI | 1013620939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 95190498) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95024376) |
Enumeration Date | 2023-01-05 |
Last Update Date | 2023-04-12 |