NPI | 1457779993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000586) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 781193) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2024-08-20 |