NPI | 1568188332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029084) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95277214) |
Enumeration Date | 2022-10-13 |
Last Update Date | 2024-08-28 |