NPI | 1396815866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 3439) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA Y306210) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2024-04-09 |