NPI | 1598154734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001020) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95001020) |
364SF0001X Clinical Nurse Specialist, Family Health (Licence: CA NP95001020) | |
Enumeration Date | 2015-01-12 |
Last Update Date | 2024-04-03 |