NPI | 1801262332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA FNP95002748) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95059156) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2024-04-30 |