NPI | 1356909584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP11252) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95010551) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2024-09-13 |