NPI | 1144637067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004177) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672485-1) |
363LF0000X Nurse Practitioner, Family (Licence: NY 339452) | |
Enumeration Date | 2014-07-14 |
Last Update Date | 2021-03-17 |