NPI | 1467920934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010962) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 767334) |
Enumeration Date | 2018-11-02 |
Last Update Date | 2020-08-14 |