NPI | 1700160421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP21066) |
Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: GA RN303217) |
Enumeration Date | 2011-09-29 |
Last Update Date | 2024-07-22 |