NPI | 1457860470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006296) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 762940) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2019-07-12 |