NPI | 1619445756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95010169) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95010169) |
Enumeration Date | 2018-11-07 |
Last Update Date | 2018-11-07 |