NPI | 1093235699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004382) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F1216615) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2022-07-21 |