NPI | 1457961237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021218) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95162317) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2022-07-28 |