NPI | 1285085456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95004673) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN683793) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2021-06-23 |