NPI | 1285398578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP950025440) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 614488) |
Enumeration Date | 2021-10-24 |
Last Update Date | 2024-07-23 |