NPI | 1235677881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006057) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95094094) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2021-12-30 |