NPI | 1053949214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95013435) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95013435) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2023-01-06 |