NPI | 1275919474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95016133) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1025119) |
Enumeration Date | 2015-08-11 |
Last Update Date | 2022-02-15 |