NPI | 1205470929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NPF95014887) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 689800) |
Enumeration Date | 2019-11-06 |
Last Update Date | 2021-01-06 |