NPI | 1568997724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006439) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95058806) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2017-05-04 |