NPI | 1992356109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013320) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 842047) |
Enumeration Date | 2019-09-28 |
Last Update Date | 2023-01-04 |