NPI | 1336662808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 377279) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 10830) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2022-07-21 |