NPI | 1194065847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009752) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95009752) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95009752) | |
Enumeration Date | 2013-02-17 |
Last Update Date | 2021-01-27 |