NPI | 1194163907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN- 2068) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21396) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2020-09-02 |