NPI | 1407611312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029702) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 693072) |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-07-10 |