NPI | 1881166965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F12180477) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 761840) |
Enumeration Date | 2018-12-29 |
Last Update Date | 2023-11-06 |