NPI | 1407535933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024007) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 688140) |
Enumeration Date | 2023-07-12 |
Last Update Date | 2024-04-15 |