NPI | 1235598749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95002201) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 744270) |
363L00000X Nurse Practitioner (Licence: CA NPF95002201) | |
Enumeration Date | 2016-02-12 |
Last Update Date | 2021-12-17 |