NPI | 1821744731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95020559) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F02220382) |
Enumeration Date | 2022-03-01 |
Last Update Date | 2023-01-10 |