NPI | 1619006657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 22674) |
Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: MA 268990) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-10-20 |