NPI | 1669004578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015280) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 793092) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 793092) | |
Enumeration Date | 2020-02-08 |
Last Update Date | 2021-02-10 |