NPI | 1467813683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95029500) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: ZZ L-302627) | |
Enumeration Date | 2016-03-16 |
Last Update Date | 2022-06-02 |