NPI | 1396139556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000848) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000848) |
163WG0000X Registered Nurse, General Practice (Licence: CA 769520) | |
Enumeration Date | 2015-03-26 |
Last Update Date | 2021-12-23 |