NPI | 1154897841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009778) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95009778) |
Enumeration Date | 2018-10-19 |
Last Update Date | 2023-08-16 |