NPI | 1083369151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95020607) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 95262590) |
Enumeration Date | 2022-02-17 |
Last Update Date | 2022-11-02 |