NPI | 1750764940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004162) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687104) |
163W00000X Registered Nurse (Licence: CA 95064407) | |
Enumeration Date | 2015-07-07 |
Last Update Date | 2016-04-19 |