NPI | 1104365766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP950005952) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95005952) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2023-11-27 |