NPI | 1922747153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 713094) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025640) |
Enumeration Date | 2022-06-04 |
Last Update Date | 2025-07-04 |