NPI | 1992405260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028653) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95279482) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2024-06-07 |