NPI | 1821653783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012094) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 627270) |
Enumeration Date | 2019-05-07 |
Last Update Date | 2022-02-25 |