NPI | 1871910950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: CA 617136) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9234798) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2022-05-10 |