NPI | 1144680653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003788) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003788) |
Enumeration Date | 2016-02-25 |
Last Update Date | 2019-01-23 |