NPI | 1790880300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN 307291) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPC #8930) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2023-03-07 |