NPI | 1710123427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 724402) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 74533) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95021318) | |
Enumeration Date | 2008-12-30 |
Last Update Date | 2025-02-05 |