NPI | 1235118993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP13311) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP13311) |
Enumeration Date | 2006-01-11 |
Last Update Date | 2022-06-01 |