NPI | 1073903381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001926) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001926) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2025-06-05 |