NPI | 1114637568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022938) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 803216) |
Enumeration Date | 2022-11-28 |
Last Update Date | 2022-11-28 |