NPI | 1699016014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 23644) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: CA 526472) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2022-02-11 |