NPI | 1912789868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95033613) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95264622) |
Enumeration Date | 2023-10-16 |
Last Update Date | 2025-01-29 |