NPI | 1104167758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23310) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 507599) |
174H00000X Health Educator (Licence: CA 507599) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23310) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 23310) | |
Enumeration Date | 2013-03-06 |
Last Update Date | 2024-02-28 |