NPI | 1205228699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22020) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 593704) |
363L00000X Nurse Practitioner (Licence: CA 593704) | |
Enumeration Date | 2015-02-23 |
Last Update Date | 2024-11-02 |