NPI | 1629240049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP17392) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN585873) |
163WC1500X Registered Nurse, Community Health (Licence: CA PHN69084) | |
Enumeration Date | 2008-03-26 |
Last Update Date | 2022-01-03 |