NPI | 1114020997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP21534) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2523) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2021-03-29 |