NPI | 1902233349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23683) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202103853NP-PP) |
Enumeration Date | 2013-09-30 |
Last Update Date | 2024-01-23 |