NPI | 1831773407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018583) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95134382) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-10-15 |