NPI | 1720004088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 12340) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 12340) |
163W00000X Registered Nurse (Licence: CA 506021) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2023-08-18 |