NPI | 1295167229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95018783) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 844515) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2025-03-14 |