NPI | 1538580311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95000283) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 467628) |
Enumeration Date | 2013-12-23 |
Last Update Date | 2023-12-28 |