NPI | 1124551494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014754) |
Additional Taxonomies | 176B00000X Midwife (Licence: CA 235889) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2023-11-07 |