NPI | 1104547231 |
---|---|
Former Name | KAREN MARIE DE SOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021876) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95231040) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95021876) | |
Enumeration Date | 2022-09-07 |
Last Update Date | 2022-11-11 |