NPI | 1114528981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018578) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95038191) |
Enumeration Date | 2020-11-06 |
Last Update Date | 2023-06-02 |