NPI | 1033726278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015918) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 721634) |
Enumeration Date | 2020-09-30 |
Last Update Date | 2020-11-24 |