NPI | 1972844371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000585) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657411-1) |
163W00000X Registered Nurse (Licence: CA 852291) | |
Enumeration Date | 2013-03-09 |
Last Update Date | 2021-12-04 |