NPI | 1063919561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008415) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95027657) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2018-04-11 |