NPI | 1053729012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 448756) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95000838) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2019-05-07 |