NPI | 1083071195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95007191) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9258534) |
Enumeration Date | 2016-01-20 |
Last Update Date | 2023-08-02 |