NPI | 1710357124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA APN.0991722-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991722-NP) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2021-03-25 |