NPI | 1699330845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95011603) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 830331) |
Enumeration Date | 2019-05-02 |
Last Update Date | 2019-05-02 |