NPI | 1407571409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022473) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CA 95022473) |
Enumeration Date | 2022-10-11 |
Last Update Date | 2023-08-21 |