NPI | 1114466281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95018333) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F342831) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2023-08-06 |