NPI | 1336816594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95176848) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95031050) |
Enumeration Date | 2021-08-25 |
Last Update Date | 2024-11-06 |