NPI | 1033885371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017120) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348113) |
Enumeration Date | 2021-08-17 |
Last Update Date | 2023-07-13 |