NPI | 1710565221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020096) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95243981) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2022-03-16 |