NPI | 1376196022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010685) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 797705) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2019-07-22 |