NPI | 1053772889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 9001426) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001426) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2024-01-17 |