NPI | 1144870924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95014979) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 706169) |
Enumeration Date | 2019-09-13 |
Last Update Date | 2020-11-08 |