NPI | 1679945232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11645) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95003005) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2019-12-11 |