NPI | 1407208846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 480700) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005580) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2019-02-05 |