NPI | 1083924906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP20234) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 20234) |
Enumeration Date | 2010-10-13 |
Last Update Date | 2024-08-07 |