NPI | 1730339086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015450) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 735667) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2021-10-14 |