NPI | 1164959433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005788) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 825158) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2017-07-18 |