NPI | 1114401569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95009657) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 803343) |
163WC1500X Registered Nurse, Community Health (Licence: CA 81598) | |
Enumeration Date | 2018-09-21 |
Last Update Date | 2018-09-21 |