NPI | 1649013301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95027786) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 776895) |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-08-29 |