NPI | 1205155447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95016486) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 771786) |
Enumeration Date | 2010-05-27 |
Last Update Date | 2021-04-27 |