NPI | 1447881032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WU0100X Registered Nurse, Urology (Licence: CA 95133599) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95013849) |
Enumeration Date | 2020-02-01 |
Last Update Date | 2020-02-01 |