NPI | 1043872260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013278) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 850502) |
Enumeration Date | 2019-07-09 |
Last Update Date | 2022-01-05 |