NPI | 1194073692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004766) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 150397) |
363L00000X Nurse Practitioner (Licence: WI 5237) | |
Enumeration Date | 2012-08-15 |
Last Update Date | 2022-11-29 |