NPI | 1245292804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95009598) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 761816) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2025-03-24 |