NPI | 1104682020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F07240492) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95157659) |
Enumeration Date | 2024-02-27 |
Last Update Date | 2024-07-11 |