NPI | 1922875947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95028305) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95357599) |
Enumeration Date | 2023-12-11 |
Last Update Date | 2024-03-04 |