NPI | 1952005498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024321) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA 195200498) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2025-05-20 |