NPI | 1346521408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95033171) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 799029) |
Enumeration Date | 2011-09-02 |
Last Update Date | 2024-12-16 |