NPI | 1689195943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014406) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 836742) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2021-07-30 |