NPI | 1699292540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023381) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95122187) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2024-01-03 |