NPI | 1265808547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002947) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 845371) |
Enumeration Date | 2015-08-20 |
Last Update Date | 2022-07-06 |