NPI | 1639413297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016614) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 767996) |
Enumeration Date | 2012-11-20 |
Last Update Date | 2021-02-18 |