NPI | 1669951679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007459) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 804508) |
Enumeration Date | 2018-08-09 |
Last Update Date | 2019-06-11 |