NPI | 1205232808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016813) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 159912) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9396075) | |
Enumeration Date | 2014-11-07 |
Last Update Date | 2022-12-07 |