NPI | 1396053369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP19079) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP19079) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP19079) | |
Enumeration Date | 2010-09-23 |
Last Update Date | 2023-03-07 |