NPI | 1811391980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27535) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 657188) |
363L00000X Nurse Practitioner (Licence: CA 95014008) | |
Enumeration Date | 2014-10-17 |
Last Update Date | 2024-06-04 |