NPI | 1063029007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021637) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 79687) |
Enumeration Date | 2020-09-24 |
Last Update Date | 2022-08-02 |