NPI | 1386360964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023015) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 335217) |
Enumeration Date | 2022-10-17 |
Last Update Date | 2023-11-27 |