NPI | 1376853374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 61630) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 717919) |
363L00000X Nurse Practitioner (Licence: NM CNP-61630) | |
363LF0000X Nurse Practitioner, Family (Licence: CA F0413125) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 21504) | |
363LF0000X Nurse Practitioner, Family (Licence: NM 61630) | |
Enumeration Date | 2010-10-09 |
Last Update Date | 2021-12-08 |