NPI | 1316588270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017517) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95250045) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2024-12-31 |