NPI | 1114315520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002020) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 836075) |
Enumeration Date | 2015-01-07 |
Last Update Date | 2020-02-06 |