NPI | 1659892750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: CA 690211) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95009428) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2019-04-03 |