NPI | 1043799703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95165894) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP95030204) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2024-06-14 |