NPI | 1386449924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 2024090854) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F01250030) |
Enumeration Date | 2025-02-18 |
Last Update Date | 2025-02-18 |