NPI | 1275291346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP5000003116) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95017091) |
Enumeration Date | 2021-12-06 |
Last Update Date | 2022-06-06 |