NPI | 1538596036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019813) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 578356) |
171100000X Acupuncturist (Licence: CA 11925) | |
Enumeration Date | 2013-09-30 |
Last Update Date | 2024-01-16 |