NPI | 1427483056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95005657) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 613315) |
207Q00000X Family Medicine (Licence: CA 95005657) | |
Enumeration Date | 2013-09-13 |
Last Update Date | 2023-05-15 |