NPI | 1710905104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP11738) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP11738) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2023-03-07 |