NPI | 1548519010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028091) |
Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: CA 823343) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2023-11-20 |