NPI | 1821619602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015317) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95073614) |
Enumeration Date | 2020-05-02 |
Last Update Date | 2021-11-04 |