NPI | 1881104925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007326) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 791051) |
Enumeration Date | 2017-10-03 |
Last Update Date | 2024-11-01 |