NPI | 1538545942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002643) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 820471) |
163WC1500X Registered Nurse, Community Health (Licence: CA 83724) | |
Enumeration Date | 2015-08-07 |
Last Update Date | 2020-02-14 |