NPI | 1235130048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 9787) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 306683) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2023-03-07 |