NPI | 1144761842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006301) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95006301) |
Enumeration Date | 2017-03-14 |
Last Update Date | 2019-08-28 |