NPI | 1669924171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F1016188) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 9005754) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2025-01-13 |