NPI | 1336813997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95019242) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 718111) |
Enumeration Date | 2021-08-05 |
Last Update Date | 2025-08-18 |