NPI | 1245249812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 442946) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 13341) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2024-09-18 |