NPI | 1184265407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029696) |
Additional Taxonomies | 101Y00000X Counselor |
163W00000X Registered Nurse (Licence: CA 95274939) | |
172V00000X Community Health Worker | |
Enumeration Date | 2019-10-08 |
Last Update Date | 2024-09-29 |