NPI | 1588162556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 1588162556) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95026507) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 1588162556) | |
Enumeration Date | 2018-01-25 |
Last Update Date | 2023-09-28 |