NPI | 1750928388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013683) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 491651) |
Enumeration Date | 2019-12-02 |
Last Update Date | 2020-01-16 |