NPI | 1457012122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95071111) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-09-14 |