NPI | 1447648456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001995) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 835967) |
Enumeration Date | 2014-12-27 |
Last Update Date | 2024-02-21 |