NPI | 1477924124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001229) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 701819) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2023-11-27 |