NPI | 1508299264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23400) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 802208) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2023-10-16 |