NPI | 1457988016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CA 358485) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014293) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2020-03-24 |