NPI | 1619978467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 17829) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA np17829) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2023-08-16 |