NPI | 1639543994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19640) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 515900) |
Enumeration Date | 2015-11-23 |
Last Update Date | 2020-04-27 |