NPI | 1003586546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018406) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95084442) |
Enumeration Date | 2021-09-16 |
Last Update Date | 2023-10-27 |