NPI | 1942670229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201608621NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 731055) |
363LF0000X Nurse Practitioner, Family (Licence: NC 281990) | |
Enumeration Date | 2015-09-30 |
Last Update Date | 2022-03-24 |