NPI | 1588108708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005482) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95099415) |
Enumeration Date | 2016-12-06 |
Last Update Date | 2020-06-03 |