NPI | 1013668680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023331) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 257288) |
163W00000X Registered Nurse (Licence: CA 95268580) | |
Enumeration Date | 2022-01-14 |
Last Update Date | 2023-05-18 |