NPI | 1194034330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010801) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 172835) |
363LF0000X Nurse Practitioner, Family (Licence: NV RN96625) | |
Enumeration Date | 2010-10-06 |
Last Update Date | 2019-02-25 |