NPI | 1083233894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014539) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 578318) |
Enumeration Date | 2020-04-11 |
Last Update Date | 2022-10-10 |