NPI | 1861846677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95007784) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9423876) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2018-11-05 |