NPI | 1275072829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95008963) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22717503) |
363LF0000X Nurse Practitioner Family (Licence: CA NP95008963) | |
Enumeration Date | 2017-02-15 |
Last Update Date | 2024-10-02 |