NPI | 1851967939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016561) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95047748) |
Enumeration Date | 2021-05-31 |
Last Update Date | 2023-10-27 |