NPI | 1033734868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021016) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309669) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2024-01-18 |