NPI | 1346603248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95006348) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 835264) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2022-01-27 |