NPI | 1801412325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018521) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 847382) |
Enumeration Date | 2020-06-20 |
Last Update Date | 2021-10-04 |