NPI | 1154970259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013307) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 622723) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95013307) | |
Enumeration Date | 2019-09-10 |
Last Update Date | 2021-12-03 |