NPI | 1275921223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001975) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 836384) |
Enumeration Date | 2014-12-29 |
Last Update Date | 2019-10-01 |