NPI | 1528512126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004006) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95032762) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2016-08-11 |