NPI | 1811310287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000244) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 785115) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2023-03-07 |