NPI | 1679735674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19973) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 653416) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2024-10-09 |