NPI | 1508201443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23204) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 797669) |
Enumeration Date | 2013-05-06 |
Last Update Date | 2022-07-21 |